Individual
DR. STEVEN A STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
230 EAST MARYDALE AVE, SOLDOTNA, AK 99669-2949
(907) 260-3691
(907) 260-7301
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 260-7303
(907) 260-7301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
202074
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010145726
BLUE SHIELD
ID
01
—
200490232
AETNA
ID
05
—
806767800
—
ID
01
—
BLUE CROSS
N5749
ID
01
—
CIGNA
200490232
ID
05
—
FH177FQ
—
AK
05
—
MH0156
—
AK
Enumeration date
11/02/2006
Last updated
05/16/2011
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